Cathedral Physician Group, Pc in Newark - Family Medicine
Cathedral Physician Group, Pc - NPI 1780884031
Cathedral Physician Group, Pc is a Family Medicine in Newark, New Jersey. Cathedral Physician Group, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Cathedral Physician Group, Pc is 1780884031. The last update date is 2007-07-24.
Cathedral Physician Group, Pc's current location address is 111 Central Ave, Newark, New Jersey. You can contact this provider via phone number 9738775000. The mailing address for Cathedral Physician Group, Pc is 111 Central Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Cathedral Physician Group, Pc |
---|---|
Address | 111 Central Ave, Newark, New Jersey |
Phone Number | 9738775000 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
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Authorized Official Name | Bendezu Luis |
Credentials | MD |
Telephone Number | 9738775188 |
NPI Number Detail
NPI Number | 1780884031 |
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Provider Enumeration Date | 2007-07-24 |
Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
Address | 111 Central Ave |
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City | Newark |
State | New Jersey (NJ) |
Post Code | 71021909 |
Phone Number | 9738775000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PENDING | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Cathedral Physician Group, Pc by the Centers for Medicare & Medicaid Services?
The Cathedral Physician Group, Pc has been assigned the NPI (National Provider Identifier) 1780884031 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Cathedral Physician Group, Pc is located?
The Cathedral Physician Group, Pc is situated at the following address: 111 Central Ave, Newark, NJ, 71021909.
What is Cathedral Physician Group, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Cathedral Physician Group, Pc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780884031 to Cathedral Physician Group, Pc?
The Cathedral Physician Group, Pc received its 1780884031 assignment from the Centers for Medicare & Medicaid Services on 2007-07-24.
As of what date were the Cathedral Physician Group, Pc's details last updated?
The information pertaining to the Cathedral Physician Group, Pc, including its address, specialty, and other details, was most recently updated on 2007-07-24.
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